<h2 class="contentTitle" style="background-color: #E8F1FD;">解绑银行卡&nbsp;</h2>
<div class="pageContent" style="background-color: #E8F1FD;">
	<form method="post" action="" class="pageForm required-validate">
		<div class="pageFormContent nowrap" layoutH="87">
			<dl>
				<dt>登录账号：</dt>
				<dd>
					<input name="CUST_LOGIN" id="CUST_LOGIN" value="zhangsan"
						type="text" maxlength="16" readonly />
				</dd>
			</dl>

			<dl>
				<dt>银行卡号：</dt>
				<dd>
					<input name="CARD_NO1" id="CARD_NO1" value="111111111111"
						type="text" maxlength="30" readonly />
				</dd>
			</dl>
			<dl>
				<dt>解绑原因：</dt>
				<dd>
					<input name="CARD_STA_RES" id="CARD_STA_RES" value="" type="text"
						maxlength="100" />
				</dd>
			</dl>
		</div>
		<div class="formBar">
			<ul>
				<li><div class="buttonActive">
						<div class="buttonContent">
							<button type="submit">解绑</button>
						</div>
					</div></li>
			</ul>
		</div>
	</form>
</div>



